Organization
JEFFREY L. BREWER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L BREWER DDS (OWNER)
(423) 332-3431
Entity
Organization
Contact information
Practice address
10298 WALDEN ST, SODDY DAISY, TN 37379-5152
(423) 332-3431
(423) 332-5848
Mailing address
10298 WALDEN ST, SODDY DAISY, TN 37379-5152
(423) 332-3431
(423) 332-5848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5308
TN
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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